Single Incision Laparoscopic Gastric Bypass Surgery: A Study of 55 Single Incision Laparoscopic Gastric Bypass Surgery By a Single Surgeon

Keyur Chavda, MD, Sunil Sharma, MD, Ziad Awad, MD FACS. University of Florida – Jacksonville

 

 Introduction : Laparoscopic Roux en Y gastric bypass is one of the most commonly performed weight loss surgery in United States. This complex reconstructive surgery requires high level of expertise with little room for error. Single Incision Laparoscopic Surgery (SILS) is a new approach where by the whole surgery is performed using a small incision and inserting multiple ports through it. Better cosmetics, less pain and faster recovery are potential advantages of this approach. Inadequate visualization, lack of space, expensive equipments, long operative time and being potentially unsafe are often criticism. SILS has been successfully performed and reported for cholecystectomy, sleeve gastrectomy and lap band surgery. For the first time we are reporting our successful technique for performing Single Incision Laparoscopic Surgery for Roux en Y Gastric Bypass using end-to-end anastomosis (EEA) stapler technique and extracorporeal small bowel anastomosis.

Material and Method: retrospective analysis of first 55 patients who underwent SILS LGBP over a period of 18 months. Selection criteria included body mass index (BMI) of 33-60, no prior major abdominal surgery and patient consenting for this approach.

Results: Attempted in 55 patients. 7 patients required additional single 5 mm port. Average operative time was 110 minutes with minimal blood loss. No major complication. One patient had anastomotic leak secondary to EEA stapler malfunction. Average hospital stay was between 24 to 36 hours. 4 patients developed small seroma which required drainage but no hospitalization.

Conclusion: SILS LGBP is a reasonable option for selected patients. The procedure is safe, technically feasible and can be performed in a reasonable time with a potential of faster recovery.


Session Number: Poster – Poster Presentations
Program Number: P500
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